Black, Randall A
Black, Randall A is an individual health care provider with primary practice located at 1512 12Th Ave Rd Anesthesiology Consultants Of Idaho, Nampa ID 83686-6008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Black, Randall A can be contacted via phone (208) 571-9043.Contact Information
Primary practice address
1512 12Th Ave Rd Anesthesiology Consultants Of Idaho
Nampa ID 83686-6008
Phone: (208) 571-9043
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | O-0445 | Idaho |
Profile Details
| NPI number | 1922028083 |
|---|---|
| LBN Legal business name | Black, Randall A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jan 17th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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